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Ann Thorac Surg 1996;61:645
© 1996 The Society of Thoracic Surgeons


Invited Commentary

Invited Commentary

David T. George, PhD

Division of Cardiothoracic Surgery Case Western Reserve University School of Medicine, B-27 10900 Euclid Ave Cleveland, OH 44106-4929

The first 20% of the full text of this article appears below.

See also page 640.

Kinoshita and colleagues present a case for atrophy of residual intact myocardium due to long-term unloading with a left ventricular assist device (LVAD). This group has accomplished some difficult studies in the past using coronary artery ligation to induce profound heart failure [1]. Unfortunately, their clinical correlation is limited in the present study because they studied normal hearts. Kinoshita and colleagues recognize this limitation, pointing out that ``myocardial atrophy in the intact ventricle after long-standing unloading ... may not directly indicate that atrophy also occurs in remaining viable myocardium in a clinical setting ...''.

This study underscores the disparate findings of experimental and clinical studies concerning myocardial atrophy after long-term unloading of the left ventricle. It is intuitive that chronic unloading could cause myocardial atrophy just as increased afterload causes myocardial hypertrophy. Intuition aside, observations . . . [Full Text of this Article]


Related Article

Influence of Prolonged Ventricular Assistance on Myocardial Histopathology in Intact Heart
Masayuki Kinoshita, Hisateru Takano, Shigeko Takaichi, Yoshiyuki Taenaka, and Takeshi Nakatani
Ann. Thorac. Surg. 1996 61: 640-645. [Abstract] [Full Text]






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